Summaries of contributions
Regina Witt, Brazil
I would like to congratulate the World Health Organization for this initiative.
The eleven articles describe clearly the way international health personnel recruitment process should be developed.
The promotion of an equitable balance of interests among health workers, source countries and destination countries is an overall interest, considering the necessity of providing underserved areas with health professionals and maintaining those who are needed in underdeveloped countries.
Data gathering will allow important research to be developed, providing evidence to resolve health professional recruitment problems all over the world.
Recruitment practices developed from the code should be disseminated in order to avoid precarious work relations.
Finally, the most important element is the cooperation that will be instigated through implementation of the code, with the participation of governments, health professionals, civil organizations and professional organizations.
The Government of Trinidad and Tobago
Note: The Government provided a number of specific comments on articles 4.7 and 4.8 and these will be duly considered when the draft is revised. Below are selected highlights from their additional comments.
1(b) should be reworded to unequivocally promote a sense of fair play and equity among countries, organizations and individuals involved in the recruitment of health personnel.
3.7 Provision should be made to ensure foreign countries and recruiting agencies compensate the supplying country for the education and training expended on those health workers who are being recruited.
Article 5: Mutuality of benefits is of paramount importance to recruiting countries, since the focus has to be on optimizing transferability of training so that there is skill development within the wider domestic health sector.
Articles 6 and 7: The establishment of a centralized planning policy/research unit with a strong focus of HR issues for health should be seen as critical to moving forward, especially for developing countries. The need for an evidence-based approach cannot be overstated.